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Emergency Medicine > EM I > Flashcards

EM I Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

If using Ketamine on a child be sure to warn parents about […]

A

If using Ketamine on a child be sure to warn parents about nystagmus and emergence reaction.

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2
Q
  1. […]
  2. Dendritic Lesion
  3. Seidel’s Sign
A
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. Seidel’s Sign
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3
Q
  1. Corneal Abrasion
  2. […]
  3. Seidel’s Sign
A
  1. Corneal Abrasion
  2. Dendritic Lesion - herpes simplex keratitis
  3. Seidel’s Sign
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4
Q
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. […]
A
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. Seidel’s Sign - The test is used to reveal leaks from the cornea, sclera, or conjunctiva following injury or surgery.
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5
Q

“ED Neuro Exam” cranial nerve:

  • […]
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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6
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • […]
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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7
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • […]
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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8
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • […]
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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9
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • […]
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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1
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10
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • […]
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
How well did you know this?
1
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11
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • […]
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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12
Q

“ED Neuro Exam” fine motor and cerebeller:

  • […]
  • rapid alternating movements
  • finger movements
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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13
Q

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • […]
  • finger movements
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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14
Q

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • […]
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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15
Q

“ED Neuro Exam” gait testing:

  • […]
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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16
Q

“ED Neuro Exam” gait testing:

  • walk towards and away
  • […]
  • Romberg (face away, palms up, stand behind pt)
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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17
Q

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • […]
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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18
Q

“ED Neuro Exam” gross sensation:

  • […]
  • LE bilateral
A

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • LE bilateral
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19
Q

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • […]
A

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • LE bilateral
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20
Q

“ED Neuro Exam” LE motor strength:

  • […]
  • flex/extend leg
  • flex/extend foot
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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21
Q

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • […]
  • flex/extend foot
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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22
Q

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • […]
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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23
Q

“ED Neuro Exam” UE motor:

  • […]
  • flex/extend
  • pronator drift (palms up, close eyes)
A

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • pronator drift (palms up, close eyes)

pronator drift = corticospinal tracts

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24
Q

“ED Neuro Exam” UE motor:

  • grip strength
  • […]
  • pronator drift (palms up, close eyes)
A

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • pronator drift (palms up, close eyes)

pronator drift = corticospinal tracts

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25
Q

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • […]
A

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • pronator drift (palms up, close eyes)

pronator drift = corticospinal tracts

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26
Q

“ED Neuro Exam”:

  • […]
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing
A

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing

+/- romberg (dorsal columns)

+/- pronator drift (corticospinal)

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27
Q

“ED Neuro Exam”:

  • CN testing
  • […]
  • fine motor/cerebellar
  • gross sensation
  • gait testing
A

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing

+/- romberg (dorsal columns)

+/- pronator drift (corticospinal)

How well did you know this?
1
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2
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28
Q

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • […]
  • gross sensation
  • gait testing
A

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing

+/- romberg (dorsal columns)

+/- pronator drift (corticospinal)

How well did you know this?
1
Not at all
2
3
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5
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29
Q

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • […]
  • gait testing
A

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing

+/- romberg (dorsal columns)

+/- pronator drift (corticospinal)

How well did you know this?
1
Not at all
2
3
4
5
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30
Q

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • […]
A

“ED Neuro Exam”:

  • CN testing
  • UE/LE motor
  • fine motor/cerebellar
  • gross sensation
  • gait testing

+/- romberg (dorsal columns)

+/- pronator drift (corticospinal)

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31
Q

2 ampules of NaHCO3 are equivalent to giving […]ml 3% saline.

A

2 ampules of NaHCO3 are equivalent to giving 200ml 3% saline.
raise sodium ~2-4

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32
Q

5 Step EKG approach: (6)

  • […]
  • […]
  • […]
  • […]
  • […]
  • […]
A

5 Step EKG approach: (6)

  • rate
  • rhythm
  • axis
  • intervals
  • ischemia/infarction
  • enlargment
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33
Q

A “negative” cath can still have […]% occlusions.

A

A “negative” cath can still have 30% occlusions.

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34
Q

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • […]
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
A

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
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35
Q

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • […]
  • esophageal rupture
A

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
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36
Q

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • […]
A

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
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37
Q

A CXR narrows Chest Pain deadly ddx by addressing:

• […]

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
A

A CXR narrows Chest Pain deadly ddx by addressing:

• pericardial effusion/tamponade

  • pneumothorax
  • dissection (widened mediastinum 60-70% sn)
  • esophageal rupture
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38
Q

A positive […] suggests BPPV.

A

A positive Dix Hallpike Maneuver suggests BPPV.

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39
Q

A therapeutic INR (2-3) is […] of PE.

A

A therapeutic INR (2-3) is NOT 100% protective of PE.

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40
Q

A-flutter with variable block tx is […].

A

A-flutter with variable block tx is the same as A-fib.

Narrow Irregular

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41
Q

AAA dispo:

  • […]cm = CT surgery cs
  • 2-5cm = f/u
A

AAA dispo:

  • >5cm = CT surgery cs
  • 2-5cm = f/u
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42
Q

AAA dispo:

  • >5cm = CT surgery cs
  • […]cm = f/u
A

AAA dispo:

  • >5cm = CT surgery cs
  • 2-5cm = f/u
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43
Q

AAA is dx’d with […].

A

AAA is dx’d with bedside US.

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44
Q

Abd Pain d/c needs to document […].

A

Abd Pain d/c needs to document repeat abd exam.

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45
Q

Abd Pain ddx:

  • […]
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
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46
Q

Abd Pain ddx:

  • appendicitis
  • […]
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
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47
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • […]
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
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48
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • […]
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
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49
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • […]
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
50
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • […]
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
51
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • […]
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
52
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • […]
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
53
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • […]
  • gastroenteritis
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA

Gastroenteritis is inflammation (irritation) of the stomach and bowel, caused by an infection. Gastritis is inflammation of the stomach lining specifically, and not always caused by infection.

54
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • […]
  • PUD
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA

Gastroenteritis is inflammation (irritation) of the stomach and bowel, caused by an infection. Gastritis is inflammation of the stomach lining specifically, and not always caused by infection.

55
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • […]
  • AAA
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
56
Q

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • […]
A

Abd Pain ddx:

  • appendicitis
  • cholecystitis
  • pancreatitis
  • diverticulitis
  • SBO
  • perforation
  • mesenteric ischemia
  • kidney stone
  • gastritis
  • gastroenteritis
  • PUD
  • AAA
57
Q

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • […]
  • +/- VBG with lactate
  • +/- troponin
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
58
Q

Abd Pain labs:

  • […]
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
59
Q

Abd Pain labs:

  • CBC/CMP
  • […]
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
60
Q

Abd Pain labs:

  • CBC/CMP
  • coags
  • […]
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
61
Q

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- […]
  • +/- troponin
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
62
Q

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- […]
A

Abd Pain labs:

  • CBC/CMP
  • coags
  • lipase
  • UA/HCG
  • +/- VBG with lactate
  • +/- troponin
63
Q

Abd Pain symptomatic tx: (+ doses)

  • […]
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
A

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
64
Q

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • […]
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
A

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
65
Q

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • […]
  • NPO
A

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
66
Q

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • […]
A

Abd Pain symptomatic tx: (+ doses)

  • morphine 4mg IV
  • zofran 4mg IV
  • IVFs (young = 1-2L, old = 500cc at a time)
  • NPO
67
Q

ACS is ruled in by:

  • […]
  • EKG changes
  • persistant pain
A

ACS is ruled in by:

  • bump in enzymes
  • EKG changes
  • persistant pain
68
Q

ACS is ruled in by:

  • bump in enzymes
  • […]
  • persistant pain
A

ACS is ruled in by:

  • bump in enzymes
  • EKG changes
  • persistant pain
69
Q

ACS is ruled in by:

  • bump in enzymes
  • EKG changes
  • […]
A

ACS is ruled in by:

  • bump in enzymes
  • EKG changes
  • persistant pain
70
Q

Active Seizure initial tx: (+doses)

  • […] // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
A

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
71
Q

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • […]
  • POC BG or 1 amp D50 (50ml)
A

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
72
Q

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • […]
A

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
73
Q

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // […]
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
A

Active Seizure initial tx: (+doses)

  • ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM
  • NRB at 15 LPM + HFNC
  • POC BG or 1 amp D50 (50ml)
74
Q

Active Seizure rules:

  1. […]
  2. pts with seizures die of hypoxia
  3. seizures are treated with benzos, benzos and more benzos
A

Active Seizure rules:

  1. all seizure pts are hypoglycemic until proven otherwise
  2. pts with seizures die of hypoxia
  3. seizures are treated with benzos, benzos and more benzos
75
Q

Active Seizure rules:

  1. all seizure pts are hypoglycemic until proven otherwise
  2. […]
  3. seizures are treated with benzos, benzos and more benzos
A

Active Seizure rules:

  1. all seizure pts are hypoglycemic until proven otherwise
  2. pts with seizures die of hypoxia
  3. seizures are treated with benzos, benzos and more benzos
76
Q

Active Seizure rules:

  1. all seizure pts are hypoglycemic until proven otherwise
  2. pts with seizures die of hypoxia
  3. […]
A

Active Seizure rules:

  1. all seizure pts are hypoglycemic until proven otherwise
  2. pts with seizures die of hypoxia
  3. seizures are treated with benzos, benzos and more benzos
77
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • […]
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
78
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • […]
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
79
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • […]
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
80
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • […]
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl - acetaminophen
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
81
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • […]
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
82
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • […]
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
83
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • […]
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
84
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • […]
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
85
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • […]
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
86
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • […]
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
87
Q

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • […]
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
88
Q

Active Seizure w/u (broaden ddx):

  • […]
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
A

Active Seizure w/u (broaden ddx):

  • D-stick
  • CBC/CMP
  • CK
  • LFTs
  • APAP lvl
  • salicylate lvl
  • EtOH lvl
  • UA
  • HCG
  • UDS
  • EKG (TCA OD)
  • CT head w/o
89
Q

Acute Angle Glaucoma prx:

  • […]
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • large difference in IOP b/t eyes
A

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • large difference in IOP b/t eyes
90
Q

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • […]
  • u/l vision loss
  • large difference in IOP b/t eyes
A

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • large difference in IOP b/t eyes
91
Q

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • […]
  • large difference in IOP b/t eyes
A

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • large difference in IOP b/t eyes
92
Q

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • […]
A

Acute Angle Glaucoma prx:

  • hx of dark room (movie)
  • older pt + SUDDEN eye pain
  • u/l vision loss
  • large difference in IOP b/t eyes
93
Q

Acute Angle Glaucoma tx:

  • […]
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult
A

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult

lower IOP!

with optho = acetazolamide 500mg IV + prednisolone

94
Q

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • […]
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult
A

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult

lower IOP!

with optho = acetazolamide 500mg IV + prednisolone

95
Q

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • […]
  • emergent optho consult
A

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult

lower IOP!

with optho = acetazolamide 500mg IV + prednisolone

96
Q

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • […]
A

Acute Angle Glaucoma tx:

  • timolol 0.5% drops Q30
  • acetazolamide 500mg IV
  • pilocarpine 1% drops Q15min x 2
  • emergent optho consult

lower IOP!

with optho = acetazolamide 500mg IV + prednisolone

97
Q

Adenosine converts […] (VTach mimic) to NSR.

A

Adenosine converts SVT with aberrancy (VTach mimic) to NSR.

adenosine blocks AV node

98
Q

Admitted Low-Risk Chest Pain receives:

  • […]
  • serial EKG
  • stress test the next day
A

Admitted Low-Risk Chest Pain receives:

  • serial enzymes
  • serial EKG
  • stress test the next day
99
Q

Admitted Low-Risk Chest Pain receives:

  • serial enzymes
  • […]
  • stress test the next day
A

Admitted Low-Risk Chest Pain receives:

  • serial enzymes
  • serial EKG
  • stress test the next day
100
Q

Admitted Low-Risk Chest Pain receives:

  • serial enzymes
  • serial EKG
  • […]
A

Admitted Low-Risk Chest Pain receives:

  • serial enzymes
  • serial EKG
  • stress test the next day
101
Q

AFib (+/- abberrancy) tx:

  • […]
  • cardioversion ~200J
A

AFib (+/- abberrancy) tx:

  • AV blockade = rate control (CCB or BB)
  • cardioversion ~200J

Wide/Narrow Irregular

determine onset before cardioverting!

rate control + cardioversion= Amiodarone 150mg IV x 10 min => 1mg/min x 6hr => 0.5mg/min x18hr

102
Q

AFib (+/- abberrancy) tx:

  • AV blockade = rate control (CCB or BB)
  • […]
A

AFib (+/- abberrancy) tx:

  • AV blockade = rate control (CCB or BB)
  • cardioversion ~200J

Wide/Narrow Irregular

determine onset before cardioverting!

rate control + cardioversion= Amiodarone 150mg IV x 10 min => 1mg/min x 6hr => 0.5mg/min x18hr

103
Q

AGE admission criteria:

  • […]
  • unstable
  • significant comorbidities
A

AGE admission criteria:

  • unable to tolerate PO
  • unstable
  • significant comorbidities

AGE = acute gastroenteritis

104
Q

AGE admission criteria:

  • unable to tolerate PO
  • […]
  • significant comorbidities
A

AGE admission criteria:

  • unable to tolerate PO
  • unstable
  • significant comorbidities

AGE = acute gastroenteritis

105
Q

AGE admission criteria:

  • unable to tolerate PO
  • unstable
  • […]
A

AGE admission criteria:

  • unable to tolerate PO
  • unstable
  • significant comorbidities

AGE = acute gastroenteritis

106
Q

AGE exam always […].

A

AGE exam always asses hydration status.

AGE = acute gastroenteritis

107
Q

AGE invasive causes:

  • […]
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

108
Q

AGE invasive causes:

  • Salmonella
  • […]
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

109
Q

AGE invasive causes:

  • Salmonella
  • Shigella
  • […]
  • Campylobacter
  • C. Diff
  • Entamoeba
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

110
Q

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • […]
  • C. Diff
  • Entamoeba
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

111
Q

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • […]
  • Entamoeba
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

112
Q

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • […]
A

AGE invasive causes:

  • Salmonella
  • Shigella
  • Yersinia
  • Campylobacter
  • C. Diff
  • Entamoeba

AGE = acute gastroenteritis

113
Q

AGE noninvasive infectious causes:

  • […]
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

114
Q

AGE noninvasive infectious causes:

  • Viral
  • […]
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

115
Q

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • […]
  • C.perfringens
  • V.cholerae
  • Giardia
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

116
Q

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • […]
  • V.cholerae
  • Giardia
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

117
Q

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • […]
  • Giardia
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

118
Q

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • […]
A

AGE noninvasive infectious causes:

  • Viral
  • Staph
  • B.cereus
  • C.perfringens
  • V.cholerae
  • Giardia

AGE = acute gastroenteritis

119
Q

AGE tx: (+doses)

  • […]
  • GI cocktail= maalox + viscous lidocaine 2% + donnatal
  • fluids 30ml/kg/hr (PO preferred)
A

AGE tx: (+doses)

  • zofran (ondansteron) 4mg
  • GI cocktail= maalox + viscous lidocaine 2% + donnatal
  • fluids 30ml/kg/hr (PO preferred)

AGE = acute gastroenteritis

J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.

120
Q

AGE tx: (+doses)

  • zofran (ondansteron) 4mg
  • […]
  • fluids 30ml/kg/hr (PO preferred)
A

AGE tx: (+doses)

  • zofran (ondansteron) 4mg
  • GI cocktail= maalox + viscous lidocaine 2% + donnatal
  • fluids 30ml/kg/hr (PO preferred)

AGE = acute gastroenteritis

J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.

121
Q

AGE tx: (+doses)

  • zofran (ondansteron) 4mg
  • GI cocktail= maalox + viscous lidocaine 2% + donnatal
  • […]
A

AGE tx: (+doses)

  • zofran (ondansteron) 4mg
  • GI cocktail= maalox + viscous lidocaine 2% + donnatal
  • fluids 30ml/kg/hr (PO preferred)

AGE = acute gastroenteritis

J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.

122
Q

Invasive vs Non invasive AGE

A

“It is conventionally accepted that noninvasive organisms produce watery diarrhoea, usually through an enterotoxin primarily affecting the small intestine. In contrast, invasive organisms, primarily affect the large bowel, invade the mucosa and produce an inflammatory response and bloody, mucoid stools.”

Diarrhoeal diseases

https://academic.oup.com › bmb › article-pdf

Emergency Medicine (6 decks)

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